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Terms in this set (420)
Afebrile State of normal body temperature in a patient
Apnea Absence of respiration; a potentially serious sleep
disorder in which breathing repeatedly stops and
starts; may be obstructive or central in origin
Auscultatory gap Absence of audible sounds during blood pressure
measurement that may cause inaccurate readings
Blood pressure Force the blood exerts against the walls of the blood
vessels
Bradycardia Abnormally slow heart rate (usually less than 60
beats per minute in adults)
Bradypnea Abnormally slow respiratory rate (usually less than 10
breaths per minute in adults)
Core temperature Internal body temperature
Diastolic blood pressure Pressure in the blood vessels during cardiac
ventricular relaxation
Dyspnea Breathing that requires marked effort
Eupnea Normal respiratory rhythm and depth
Hypertension Abnormally high blood pressure
,Hypotension Abnormally low blood pressure
Korotkoff sounds Sounds heard during auscultation that indicate the
systolic and diastolic blood pressure
Paradoxical blood pressure Significant decrease in systolic blood pressure with
inspiration
Orthostatic (postural) hypotension A fall in blood pressure associated with a change in
position from supine to sitting or standing
Pulse deficit Mathematical difference between apical and radial
pulse
Pulse pressure Mathematical difference between systolic and
diastolic blood pressure
Stridor A harsh inspiratory sound due to obstruction that
may be compared to crowing
Stroke volume Amount of blood ejected from each cardiac ventricle
with each heart contraction
Systolic blood pressure Pressure in the blood vessels during cardiac
ventricular contraction
Tachycardia Abnormally rapid heart rate, usually above 100 beats
per minute in an adult
Tachypnea Abnormally rapid respiratory rate, usually more than
20 breaths per minute in an adult
Tidal volume Amount of air moving in and out with each breath
Wheezing Adventitious breath sound
Vital signs include temperature, pulse, respiration, blood pressure
,Purpose of vital signs Indicate the function of the body's homeostatic
mechanisms.
Yield information about underlying health status.
Normal pulse rate for an adult 60-100
Normal respiratory rate for an adult 12-20
Normal temperature for an adult 97-99
Normal systolic blood pressure for an 90-120
adult
Normal diastolic blood pressure for 60-80
an adult
Normal pulse for an older adult 60-100
Normal respiratory rate for an older 12-20
adult
Normal temperature for an older adult 95-99
Normal systolic blood pressure for an 90-120
older adult
Normal diastolic blood pressure for 60-80
an older adult
Hyperthermia/Fever/Pyrexia When body temperature exceeds 37.5 C
Heat is lost through radiation,
convection, conduction, evaporation
When may death occur due to If a person's core body temperature drops to 25 C
someone's body temperature? (77 F) or rises to 45 C (113 F)
, What is the nurse's responsibility when interpret temperature measurements
it comes to temperature? document the results
report abnormal values
Sites to take temperature oral
rectal
axillary
tympanic
temporal
Normal oral temperature range 97.6-99.6
Normal axillary temperature range 96.6-98.6
Normal rectal temperature range 98.6-100.6
Normal tympanic temperature range 98.2-100.2
When is taking an oral temperature When a patient is unconscious, delirious, or has a
contraindicated? seizure disorder
When is taking a rectal temperature When a patient has diarrhea, rectal surgery/diseases,
contraindicated? or neutropenia
What is a problem with taking a There is a high degree of variance when compared
temperature tympanically? to the oral route
What can temporal temperatures be perspiration or air blowing over the face
affected by?
What may influence an axillary Sweat and ambient air
temperature reading?
How do you assess a pulse? By the rate, rhythm, and quality
What are the methods used to assess palpation and auscultation
pulse?